tci General Surgery Coding Alert - 2004 Issue 1

No Stars to Guide You in 2004? Here's What to Do

You may need to change the way you report starred procedures to private payers beginning Jan. 1, thanks to the AMA's deletion of starred-procedure guidelines in the 2004 CPT manual. Although the change won't affect your Medicare billing for these procedures, you'll need to adjust your E/M reporting with these surgical services for some private payers. Prior to 2004, CPT used the starred-procedure designation (*) to identify a procedure or service that did not include any pre- or postprocedure care. For example, when reporting a starred procedure, such as incision and drainage (I&D) for a superficial perianal...

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